Will inverted v deformity get worse? (Photos)

If you notice carefully even on your preop photo there is a similar appearance to an open roof like deformity. It has not changed and it is early to tell if there might be any worsening. Give it at least a year before contemplating any intervention. RegardsDr. Janjua

Inverted V deformity is caused by the collapse of the upper lateral cartilages.   If you imagine the nose like the A-frame of a house where the peaks of the roof are falling against the main support beam.  This can be caused by over reduction of the nose, weakening of the attachments of the upper lateral cartilages, or as a result of scar contracture with time in someone with very long upper lateral cartilages and short nasal bones.  It generally gets somewhat worse over time (a year or more) and then stops and does not progress.    You appear to have indentations along the sidewalls of the nose preop that are still there postop.  It is questionable whether you have inverted V deformity at all but it is best to be diagnosed by physical exam. If the situation is barely noticeable to you or your friends, and you have no breathing difficulties, really nothing need be done.   Fillers can be used to camouflage those depressions if they bother you.  Of course, revision rhinoplasty is an option but may be too extreme for a person who is generally happy.

Yes you have a mild inverted V deformity and it appears like it was present before surgery.  It may be caused by prior trauma.  Sometimes fillers can be used to reduce their appearance.  A formal correction would involve a rhinoplasty revision with cartilage grafts. 

You may have a slight inverted V deformity.  If it progresses and you feel you want it corrected than a revision may be necessary. You would have to wait a year from your previous surgery to allow for the tissues to be pliable.

Inverted V deformity can occur sometimes when the middle third of the nose collapses in more than the upper nasal bones..  There are a variety of causes and sometimes it can be congenital. Your before and after pics look similar to me so it is hard to give you a definitive answer.  Revisions are usually considered after a year and at that time if it still bothers you you should have it evaluated.

Thanks for your question. Based on your photos, it does appear that you had an inverted V deformity before your surgery, and it has become slightly more prominent after the surgery. At 4 months, a significant amount of healing has already happened, but you do still have some time until the final result will be apparent. For now, there is not much you can do besides wait until it has been 1 year. At that point, you can re-asses and come up with a plan. Surgery might not completely fix this this issue, and you could consider non-surgical rhinoplasty. Good luck!

The upper third of the nose is formed from a bony arch, which is the nasal bone. The middle third of the nose has a central support, the dorsal septum, and sidewall cartilage called the upper lateral cartilages.  The upper lateral cartilages insert under the nasal bone. At times, a step can be seen if the upper lateral cartilages fall inward from the nasal bone toward midline, this is called an inverted V deformity. In your case, it looks like you had this issue before surgery and likely, it will not get much worse after surgery since surgery did not cause this issue for you.  Speak with your surgeon if it bothers you, but in this early period of recovery, I would just give more time for healing.